Johanna Derisca
NPI 1205639895 · Acute Care Nurse Practitioner · New York, NY
Enrolled with Medicare as Practitioner - Nurse Practitioner · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Johanna Derisca is a Acute Care Nurse Practitioner provider in New York, NY (NPI 1205639895).
Provider details
- NPI number
- 1205639895
- Entity type
- Individual
- Primary specialty
- Acute Care Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Female
- Sole proprietor
- Yes
- License
- 432908 (NY)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2025-03-29
- Last updated
- 2025-03-29
- Certified
- 2025-03-29
Frequently asked questions
- What is Johanna Derisca's NPI number?
- Johanna Derisca's National Provider Identifier (NPI) is 1205639895, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Johanna Derisca's specialty?
- Johanna Derisca is listed in the NPPES registry with a primary specialty of Acute Care Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Johanna Derisca located?
- Johanna Derisca's practice location on file with NPPES is 506 Lenox Ave, New York, NY 10037-1802.
- What is Johanna Derisca's phone number?
- The practice phone number listed in the NPPES registry for Johanna Derisca is (844) 692-4692.
- Does Johanna Derisca accept Medicare?
- Johanna Derisca is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Johanna Derisca's NPI active?
- Yes — Johanna Derisca's NPI (1205639895) is active in the NPPES registry as of the last update on 2025-03-29.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.